Clinical

Our clinical nursing articles aim to inform and educate nurse practitioners and students. This is achieved through the publication of peer-reviewed, evidence-based, relevant and topical articles.

Staff education by the critical care outreach team: evaluating the effect of a study day on nurses’ knowledge levels

Staff education by the critical care outreach team: evaluating the effect of a study...

Why you should read this article: • To refresh your knowledge of the history of, and rationale for, critical care outreach teams • To increase your awareness of the evidence on the effects of critical care outreach teams • To read about educational sessions provided by a critical care outreach team in an acute NHS trust Critical care outreach teams were developed in the UK from the early 2000s onwards in response to evidence that the management of severely ill patients on hospital wards before admission to the intensive care unit was frequently suboptimal. Most hospitals in the UK have some form of CCOT, which is usually composed of senior nurses with extensive critical care experience. One of the goals of CCOTs is to provide educational support to staff to enhance their skills at recognising and managing deteriorating patients. However, the evidence regarding the effects of CCOTs is conflicting. This article describes a service evaluation conducted at an acute NHS trust in England to assess the effects of educational sessions designed and delivered by the local CCOT. The CCOT offered a study day on non-invasive ventilation for patients with type 2 respiratory failure to a group of ten nurses from different clinical areas. A pre-and post-study day questionnaire showed that all participants had increased knowledge levels at the end of the study day. If positive effects of CCOT-led study days on nurses’ knowledge were consistently demonstrated, these study days could be considered as a practical and effective method of meeting the learning needs of nurses.

Carbon monoxide exposure

Screening and management of unintentional low-level carbon monoxide exposure in the...

The pathophysiology, signs and symptoms of patients with low-level carbon monoxide exposure

Understanding the effect of post-traumatic stress on the professional quality of life of pre-hospital emergency staff

The effect of post-traumatic stress on quality of life of pre-hospital emergency staff

Determining the relationship between symptoms of PTSD and professional quality of life

Outcomes of ondansetron use in children with gastroenteritis in the emergency department: a literature review

Outcomes of ondansetron use in children with gastroenteritis in the emergency...

Findings of a literature review of outcomes of ondansetron use in children with gastroenteritis

Evaluating a new trauma and critical care management course for nurses

Evaluating a new trauma and critical care management course for nurses

Developing the course and a discussion of the course evaluation findings

Hand injury: investigating the accuracy of referrals to a specialist trauma centre

Hand injury: investigating the accuracy of referrals to a specialist trauma centre

Report on a service improvement project aiming to determine accuracy of hand injury referrals

Managing behaviour that challenges in people with dementia in the emergency department

Managing behaviour that challenges in people with dementia in the emergency department

Literature review on managing behaviour in people with dementia in emergency departments

Effectiveness of the sepsis six bundle in the management of acute adult sepsis in the UK

Effectiveness of the sepsis six bundle in the management of acute adult sepsis in the UK

Literature review on the effectiveness of the sepsis six bundle in managing adults with sepsis and on clinician compliance

Assessment and management of metastatic bone cancer in emergency departments

Assessment and management of metastatic bone cancer in emergency departments

The knowledge and skills required to care for patients with cancer

Improving the treatment of patients with dual diagnosis in emergency departments

Care of patients who present with symptoms arising from a combination of severe mental illness and substance misuse

Emotional labour

Insights into nurses’ precarious emotional labour in the emergency department

Service demands such as four-hour wait targets add a further layer of complexity and pressure

Expanding the emergency nurse role to meet demand: nurse and physician perspectives

Attitudes towards an expanded role for registered nurses in the emergency department

Analysing ambulance data to ascertain the prevalence and demographics of individuals...

Service evaluation data collected by the North West Ambulance Service (NWAS) NHS Trust

Management of cardiac arrest following blunt trauma

A critical evaluation of resuscitative thoracotomy

Medicine wastage in a thromboprophylaxis protocol for ambulatory trauma patients

Investigating the waste and cost with suggestions for changing dispensing practice

Treating buckle fractures in children with a soft cast and home removal

A quality improvement initiative introduced by advanced nurse practitioners

Exploring patients and family members’ experiences of care in the emergency department

An investigation of patients and family members’ experiences of care in one ED in Iran

Optimising the conservative management of closed tendinous mallet finger injury

Understand the different splints used and read the latest evidence on immobilisation methods...

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